Stent implantation of an unusual morphology patent ductus arteriosus via Glidesheath slender

Turk Kardiyol Dern Ars. 2021 Oct;49(7):588-592. doi: 10.5543/tkda.2021.21038.

Abstract

The procedure of stenting the patent ductus arteriosus (PDA) is a palliative procedure applied as an alternative to surgery in newborns with ductus-dependent pulmonary circulation. However, it is still a very challenging method in patients with aortic arch anomalies. We describe our experience with a newborn with right atrial isomerism and dextrocardia, complete atrioventricular septal defect, aortic outlet right ventricle with pulmonary atresia, right aortic arch, and a PDA from the left innominate artery. Because the PDA was long and tortuous, we preferred placing three short stents instead of a single long stent. The procedure applied the femoral artery approach with a Glidesheath Slender to decrease arterial injuries. PDA stenting in challenging morphologies can be performed successfully using multiple short stents and via Glidesheath Slenders.

Publication types

  • Case Reports

MeSH terms

  • Computed Tomography Angiography
  • Dextrocardia / complications
  • Dextrocardia / diagnosis*
  • Dextrocardia / diagnostic imaging
  • Dextrocardia / surgery
  • Diagnosis, Differential
  • Ductus Arteriosus, Patent / complications
  • Ductus Arteriosus, Patent / diagnosis*
  • Ductus Arteriosus, Patent / diagnostic imaging
  • Ductus Arteriosus, Patent / surgery
  • Female
  • Heart Septal Defects / complications
  • Heart Septal Defects / diagnosis*
  • Heart Septal Defects / diagnostic imaging
  • Heart Septal Defects / surgery
  • Humans
  • Infant, Newborn
  • Pulmonary Atresia / complications
  • Pulmonary Atresia / diagnosis*
  • Pulmonary Atresia / diagnostic imaging
  • Pulmonary Atresia / surgery
  • Stents*

Supplementary concepts

  • Complete atrioventricular septal defect